A 12-year follow-up of allograft reconstruction after wide resection of osteosarcoma of the distal fibula: A case report
| Autor: | Pai-Han Wang, MD, Yi-Shen Luo, MD, Chih-Hsueh Chen, MD, PhD, Po-Kuei Wu, MD, PhD, Cheng-Fong Chen, MD, Fang-Yao Chiu, MD, Wei-Ming Chen, MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Foot & Ankle Surgery: Techniques, Reports & Cases, Vol 1, Iss 3, Pp 100058- (2021) |
| Druh dokumentu: | article |
| ISSN: | 2667-3967 47199504 |
| DOI: | 10.1016/j.fastrc.2021.100058 |
| Popis: | Osteosarcoma over distal fibula is a rare disease. Wide resection of a malignant tumor of the distal fibula may lead to severe lateral ankle instability, lateral displacement of the talus, and even severe ankle osteoarthritis. We present a case of a 16-year-old girl presented with painful swelling over lateral ankle. Radiography revealed an expansile lesion and periosteal reaction over the distal fibula. Magnetic resonance imaging revealed a solitary heterogenous lesion. Histological examination of the open biopsy specimen revealed osteosarcoma. Wide resection and biological reconstruction with allograft followed by skin graft was performed. Over 12-year follow-up, radiography revealed good union. The lateral malleolus allograft appeared to support fair lateral stability over the ankle. The patient had good functional recovery after the long-term follow-up. Osteosarcoma over distal fibula can be treated with wide resection and allograft reconstruction with good functional recovery after long-term follow-up. |
| Databáze: | Directory of Open Access Journals |
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